Individual
NICHOLAS J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3409 SCOTTISH TRCE, LEXINGTON, KY 40509-8550
(859) 213-0280
Mailing address
525 BONTERRA BLVD APT 102, FORT WAYNE, IN 46845-0061
(859) 213-0280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11023205A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2023
Last updated
07/26/2023
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